Join MJHS as an MDS/Case Manager to play a vital role in coordinating resident assessments and ensuring compliance with regulatory standards, while interfacing with managed care representatives to optimize reimbursement.
Key Responsibilities
Coordinate and ensure the timeliness of resident assessment processes and documentation
Interface with managed care representatives regarding levels of reimbursement
Determine payer coverage for admissions, readmissions, and hospital returns
Required Qualifications
BSN
Four years experience as a registered nurse in a long-term care facility
Supervisory experience
PRI Assessor Certification
Proficiency in Medicare coverage requirements
Experience and proficiency in MDS
Proficiency in basic computer data entry and Outlook functions
Preferred Qualifications
RAC-CT Certification
Demonstrated ability to interact/mentor/educate other disciplines